THE INTERFERON-ALPHA-2B GENE IN JAPANESE PATIENTS WITH CHRONIC VIRAL-HEPATITIS WHO DEVELOPED ANTIBODIES AFTER TREATMENT WITH RECOMBINANT INTERFERON-ALPHA-2A

DNA was extracted from leucocytes of 23 Japanese patients with chronic viral hepatitis who received treatment with recombinant interferon-alpha-2a (IFN-alpha-2a) and nine healthy controls, as well as eight human cell lines of Caucasian or African origin. A part of the gene encoding IFN-alpha-2 Was amplified by polymerase chain reaction and the sequence of nucleotides 1-231 was determined. Interferon-alpha-2a, -alpha-2b and -alpha-2c genes were tested for in five clones each from a patient or control, or a cell line, based on adenine or guanine at nucleotide positions 68 and 101. The IFN-alpha-2b gene was detected in all 160 clones from 23 Japanese patients and nine controls, but the IFN-alpha-2a or -alpha-2c gene was not found in any. Of five cell lines derived from Caucasians, four exhibited only the IFN-alpha-2b gene, while the remaining one exhibited both IFN-alpha-2a and -alpha-2b genes. Of three cell lines derived from Africans, one each showed only the IFN-alpha-2b or -alpha-2c gene, and the remaining one both IFN-alpha-2b and -alpha-2c genes. The 23 patients with the IFN-alpha-2b gene and chronic viral hepatitis included 10 who developed antibodies against IFN after treatment with recombinant IFN-alpha-2a. These results indicated a distinct geographical distribution of the three IFN-alpha-2 genes, and suggested the use of a recombinant IFN-alpha-2 preparation in agreement with the IFN-alpha-2 gene possessed by the recipient to avoid antibody responses.